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Invoice Optometrist in United Kingdom London –Free Word Template Download with AI

Registered Optometrists in the United Kingdom

123 High Street, Kensington
London, W8 5SA
United Kingdom

Tel: +44 (0)20 7946 0123
Email: [email protected]

Official Tax Document

Bill To

Mr. James Sterling
45 Baker Street
Marylebone, London
W1U 8ED
United Kingdom

NHS Number: 485 777 222 999
Private Patient ID: LV-88291

Invoice Details

Invoice Number: INV-2023-10-045
Date of Issue: 24 October 2023
Date of Service: 20 October 2023
Due Date: 24 November 2023
Payment Method: Bank Transfer / Card

Description of Optometry Services Quantity Unit Price (GBP) Total (GBP)
Comprehensive Private Eye Examination
Includes visual acuity testing, refraction, intraocular pressure measurement, and dilated fundus examination performed by a registered Optometrist in London.
1 £85.00 £85.00
Advanced Retinal Imaging (Optos)
Wide-field retinal photography to assess the health of the retina and optic nerve, standard procedure for high-risk patients in the United Kingdom.
1 £45.00 £45.00
Corneal Topography Mapping
Detailed mapping of the corneal surface curvature to detect astigmatism and keratoconus, essential for precise lens prescription.
1 £35.00 £35.00
Prescription for Spectacles (Distance & Near)
Issuance of formal optical prescription valid for purchase of corrective lenses within the United Kingdom.
1 £15.00 £15.00
Consultation for Dry Eye Syndrome
Specialist assessment including tear film break-up time and meibomian gland evaluation.
1 £40.00 £40.00
Subtotal £220.00 VAT (20%) £44.00 TOTAL DUE £264.00

Payment Instructions & Terms

Please ensure payment is made within 30 days of the invoice date. Late payments may incur interest charges in accordance with the Late Payment of Commercial Debts (Interest) Act 1998.

Bank Transfer Details:
Bank: Barclays Bank PLC
Account Name: London Vision Optometrists Ltd
Sort Code: 20-00-00
Account Number: 12345678
Reference: INV-2023-10-045

Optometrist Professional Standards

This invoice represents services provided by a fully registered Optometrist regulated by the General Optical Council (GOC) in the United Kingdom. All examinations conducted at our London clinic adhere to the highest standards of clinical care and patient safety. The fees listed above are for private services and are not covered by the National Health Service (NHS). However, if you are eligible for NHS optical vouchers, please present your prescription to your local council or optician for assessment.

Privacy Policy

Your personal and medical data is processed in accordance with the UK General Data Protection Regulation (UK GDPR) and the Data Protection Act 2018. Your records are stored securely at our London premises and are accessible only to authorized clinical staff.

London Vision Optometrists Ltd | Company No. 12345678 | VAT No. GB 123 4567 89
Registered Office: 123 High Street, Kensington, London, W8 5SA, United Kingdom

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